Hospital Costs > In California > Providence Little Co Of Mary Med Ctr San Pedro, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 161 | 355 / 97 | $79.702,60 | 2428 / 138 | $13.703,00 | 2054 / 42 | $12.555,10 | 2017 / 42 |
Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 99 | 22 / 3 | $26.366,70 | 56 / 4 | $9.134,14 | 65 / 3 | $8.866,47 | 65 / 5 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 84 | 46 / 5 | $25.721,40 | 635 / 14 | $5.639,48 | 604 / 6 | $4.984,90 | 603 / 15 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 46 | 161 / 65 | $44.509,10 | 2158 / 120 | $8.260,24 | 1971 / 51 | $7.225,09 | 1963 / 59 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 44 | 520 / 121 | $101.159,00 | 2493 / 167 | $16.215,30 | 1999 / 62 | $13.602,00 | 1957 / 45 |
Kidney & Urinary Tract Infections W/O Mcc | 33 | 200 / 76 | $33.099,60 | 2317 / 93 | $6.264,73 | 2059 / 52 | $5.120,64 | 2048 / 45 |
Cellulitis W/O Mcc | 28 | 161 / 58 | $28.857,80 | 2074 / 60 | $6.499,18 | 1926 / 27 | $5.410,07 | 1918 / 34 |
Heart Failure & Shock W Cc | 27 | 251 / 73 | $43.714,80 | 2426 / 106 | $7.641,78 | 2100 / 44 | $6.737,59 | 2094 / 50 |
Alcohol/Drug Abuse Or Dependence, Left Ama | 24 | 25 / 3 | $10.913,10 | 82 / 5 | $4.032,88 | 63 / 2 | $3.611,96 | 62 / 4 |
G.I. Hemorrhage W Cc | 23 | 195 / 68 | $53.633,30 | 2230 / 129 | $7.966,91 | 1854 / 42 | $6.772,57 | 1850 / 43 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 23 | 69 / 32 | $230.980,00 | 846 / 55 | $36.012,80 | 397 / 3 | $35.060,30 | 396 / 4 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 22 | 253 / 88 | $35.412,50 | 2363 / 107 | $6.032,09 | 2092 / 41 | $4.978,23 | 2078 / 49 |
Heart Failure & Shock W Mcc | 21 | 263 / 101 | $80.457,30 | 2456 / 159 | $11.567,00 | 1988 / 61 | $10.337,00 | 1981 / 41 |
Chronic Obstructive Pulmonary Disease W Mcc | 17 | 185 / 73 | $49.691,90 | 2176 / 80 | $8.966,53 | 2002 / 39 | $7.962,24 | 1994 / 46 |
Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 73 | $44.934,90 | 2460 / 109 | $7.667,53 | 2218 / 43 | $6.662,65 | 2210 / 51 |
Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 50 | $108.189,00 | 1937 / 105 | $14.340,20 | 1602 / 30 | $13.342,20 | 1583 / 36 |
Renal Failure W Cc | 15 | 206 / 73 | $51.611,90 | 2274 / 140 | $7.387,07 | 1897 / 34 | $6.646,60 | 1887 / 48 |
Medical Back Problems W/O Mcc | 14 | 107 / 43 | $32.485,90 | 1099 / 33 | $6.863,43 | 1033 / 35 | $5.340,43 | 1030 / 24 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 14 | 154 / 57 | $84.820,60 | 1400 / 83 | $15.061,30 | 1022 / 77 | $11.161,30 | 1017 / 13 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 13 | 148 / 53 | $35.380,50 | 1812 / 64 | $6.353,69 | 1679 / 37 | $5.413,85 | 1674 / 44 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 61 | $49.849,90 | 1738 / 74 | $9.234,31 | 1156 / 79 | $6.075,85 | 1153 / 6 |
Chronic Obstructive Pulmonary Disease W Cc | 13 | 166 / 60 | $44.861,90 | 2160 / 104 | $7.374,23 | 1888 / 38 | $6.349,62 | 1881 / 36 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 67 | $29.722,20 | 2127 / 81 | $5.518,08 | 1879 / 30 | $4.607,33 | 1873 / 36 |
Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 33 | $26.372,80 | 1606 / 30 | $5.638,33 | 1386 / 30 | $4.201,08 | 1375 / 18 |
Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 20 | $29.083,60 | 733 / 21 | $5.670,36 | 709 / 18 | $4.680,45 | 708 / 20 |
Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 80 | $90.796,90 | 2418 / 156 | $11.045,80 | 2072 / 46 | $10.477,50 | 2070 / 63 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 34 | $38.750,30 | 1784 / 70 | $5.959,82 | 1353 / 40 | $4.130,73 | 1345 / 14 | Total 27 procedures | 824 | discharges |
Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014
Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.
Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.
Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration
Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.